Individual
DR. BENJAMIN SUTTON CLOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1025 PENNOCK PL, SUITE 121, FORT COLLINS, CO 80524-3257
(970) 495-8980
(970) 495-8988
Mailing address
1025 PENNOCK PL, SUITE 121, FORT COLLINS, CO 80524-3257
(970) 495-8980
(970) 495-8988
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0044066
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91089557
—
CO
01
—
P00762593
MEDICARE RAILROAD
—
Enumeration date
01/24/2006
Last updated
08/25/2016
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